A giant ureteral stone in a 32-year-old man: a case report

Abstract

Mohammad Natami,1 Alireza Makarem,2 Faisal Ahmed,2 Niloofar Dastgheib,3 Ali-hossein Zahraei3 1Department of Urology, Hormozgan University of Medical Science, Bandar Abbas, Iran; 2Department of Urology, Shiraz University of Medical Science, Shiraz, Iran; 3Department of Urology, Shiraz University of Medical Science, Shiraz, Iran Abstract: Giant ureteral calculi are defined as stones greater than 5 cm in length or circumference. These giant calculi can cause blockage of the ureter, dilation of the kidney and also decreased kidney function if not treated in time. The patient in this report presented with complaints of bilateral episodic pain of the bilateral lumbar region. Kidney, ureter and bladder (KUB) X-ray test showed a large bilateral ureteral stone about 14 cm in length and 106 g weight in the left ureter and 3 cm longitudinal diameter in the right ureter and also a staghorn stone in the left upper collecting system. Thereafter, the ureteric calculi were managed successfully using the combination of open and endoscopic techniques. Keywords: ureteric calculus, ureterolithotomy, transurethral lithotripsy

Keywords

• Ureteric calculus
• Ureterolithotomy
• Transurethral lithotripsy